112117_YKMV_A13.pdf

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Honoring
Native
American
Heritage
By Sen. Mike Rounds
The rich and vibrant history of Native Americans is
deeply woven into the fabric of America, especially in
South Dakota. I believe we
should celebrate our diversity. To honor their culture
and the countless contributions Native Americans
have made to our society,
President Trump recently
designated November as
National Native American
Heritage Month.
Native Americans called
South Dakota home long
before Europeans settled
in the West. South Dakota
was originally a part of the
vast territory of the Dakota,
Lakota and Nakota people.
A number of other tribal
nations include the Dakota
Territory in their histories
as well.
Today, our state is home
to nine sovereign tribal
governments, comprising
more than 70,000 enrolled
members. I have appreciated the opportunity to work
closely with tribal government leaders on a number
of initiatives both during my
time as governor and now
as a senator.
One priority of mine has
been to improve the quality
of care at Indian Health Service (IHS) facilities in South
Dakota. It is well-known that
IHS has failed to live up to
its trust responsibility to
provide health care services
to Native Americans, particularly in the Great Plains
Region which includes our
state. Decades of mismanagement and poor leadership at IHS have resulted in
a health care crisis created
by government bureaucrats.
The IHS facilities within
the Great Plains Region
have the worst health care
outcomes of any of the 12
regions nationwide, including the lowest life expectancy, highest diabetes death
rate, highest tuberculosis
death rate and the highest
overall age-adjusted death
rate. This is unacceptable.
I have repeatedly said
that the first step to fixing
the crisis is to understand
where the problems lie
within the agency itself. For
this reason, I introduced a
bill that calls for an outside
assessment of IHS. My bill
would require an in-depth
look at the overall financial
structure, organizational
structure and quality of
care at the agency. The
Senate Committee on Indian
Affairs recently held a legislative hearing on our bill.
The hearing was productive, and the testimony from
Sisseton-Wahpeton Oyate
Chairman Dave Flute in support of our IHS assessment
bill was helpful in educating
committee members about
the severity of the problems
at Great Plains Region IHS
facilities.
Our proposal is now
moving forward in the Senate. The problems at IHS are
at a crisis level, and our bill
is a first step toward getting
the agency back on track.
The federal government
must live up to its trust and
treaty responsibility to provide quality health care to
Native American citizens.
This month, as we honor
the culture of our Native
American friends and neighbors, I encourage South Dakotans to also acknowledge
the hardships they have
faced throughout history
and those they continue
to face today. The health
care crisis at IHS is just one
example of how the government has failed to follow
through on its obligations
to tribal members, and I will
continue fighting to fix this
problem.
November 21, 2017 • Page 13
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